Midwifery 3 Country Experience with Strengthening of Health Systems and Deployment of Midwives in Countries with High Maternal Mortality
Series Midwifery 3 Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality Wim Van Lerberghe, Zoe Matthews, Endang Achadi, Chiara Ancona, James Campbell, Amos Channon, Luc de Bernis, Vincent De Brouwere, Vincent Fauveau, Helga Fogstad, Marge Koblinsky, Jerker Liljestrand, Abdelhay Mechbal, Susan F Murray, Tung Rathavay, Helen Rehr, Fabienne Richard, Petra ten Hoope-Bender, Sabera Turkmani This paper complements the other papers in the Lancet Series on midwifery by documenting the experience of low- Published Online income and middle-income countries that deployed midwives as one of the core constituents of their strategy to improve June 23, 2014 http://dx.doi.org/10.1016/ maternal and newborn health. It examines the constellation of various diverse health-system strengthening interventions S0140-6736(14)60919-3 deployed by Burkina Faso, Cambodia, Indonesia, and Morocco, among which the scaling up of the pre-service education This is the third in a Series of of midwives was only one element. Eff orts in health system strengthening in these countries have been characterised by: four papers about midwifery expansion of the network of health facilities with increased uptake of facility birthing, scaling up of the production of Center for Family Welfare, midwives, reduction of fi nancial barriers, and late attention for improving the quality of care. Overmedicalisation and Faculty of Public Health respectful woman-centred care have received little or no attention. University of Indonesia, Depok, West Java, Indonesia (E Achadi DrPH); Brussels, Introduction (fi gure 1B). Five of those countries made slow but steady Belgium (C Ancona MD); To argue that strengthening health systems makes the gains in facility birthing (Haiti, Honduras, Mali, Senegal, Instituto de Cooperación Social diff erence between successes and reversals in maternal and Uganda).
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